WAL-MART STORES, INC. (NPI# 1821474032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821474032 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, INC. |
| Other Organization Name | WAL-MART VISION CENTER 30-5461 |
| Practice Address |
14505 Ne Fourth Plain Blvd Vancouver WA 98682-5003 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4792771242 |
| Practice Fax Number | 4792774331 |
| Mailing Telephone | 4792771242 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792771242 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Wal-Mart Vision Center 30-5461 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1629436233 | Wal-mart Stores, Inc. | Technician/Technologist | 1301 N Victory Pl, Burbank, CA 91502-1649 | 2016-02-10 |
| 1194194605 | Wal-mart Stores, Inc. | Technician/Technologist | 6403 W Pointe Pkwy, Post Falls, ID 83854-5517 | 2015-09-15 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568879419 | Wal-mart Stores, Inc. | Technician/Technologist | 5200 W 60th Street N, Sioux Falls, SD 57107-6504 | 2014-07-11 |
| 1508283730 | Wal-mart Stores, Inc. | Technician/Technologist | 1424 Highway 2 E, Devils Lake, ND 58301-4000 | 2014-03-26 |
| 1396169041 | Wal-mart Stores, Inc. | Technician/Technologist | 2552 W. 75th Street, Naperville, IL 60540-0000 | 2014-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Vermont Business Registrations | WAL-MART STORES, INC. | 702 Sw 8th Street, Bentonville, AR 72716 |
| Street Address |
14505 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174932032 | Kyle Simonton | Pharmacist | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2014-08-05 |
| 1730721168 | Stephanie M Mcatee | Pharmacist | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2019-10-17 |
| 1427562362 | Dizon Vision Care | Optometrist | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2017-11-30 |
| 1104295740 | Akhtar & Associates Pllc | Optometrist | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2015-09-23 |
| 1578945952 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790237212 | The Vancouver Clinic, Inc. Ps | Eyewear Supplier (Equipment, not the service) | 2525 Ne 139th St # 280, Vancouver, WA 98686-2719 | 2016-11-01 |
| 1649473646 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8900 Ne Vancouver Mall Drive, Vancouver, WA 98662 | 2007-06-07 |
| 1124175641 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 8800 Ne Vancouver Mall Dr, Vancouver, WA 98662-6745 | 2007-01-05 |
| 1881785087 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8700 Ne Vancouver Mall Dr Ofc 818, Vancouver, WA 98662-6418 | 2006-09-27 |
| 1063803286 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2015-02-10 |
| 1043451511 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 19171 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98683-9321 | 2009-03-13 |
| 1316119381 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2008-03-30 |
| 1043482011 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 17720 Se Mill Plain Blvd, Suite 100, Vancouver, WA 98683-7583 | 2008-03-30 |
| 1770755746 | Vancouver Eye Care, P.s. | Eyewear Supplier (Equipment, not the service) | 2415 Ne 134th St, Suite 101, Vancouver, WA 98686-3025 | 2008-03-30 |
| 1730379165 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 720 Se 160th Ave, Mill Plain Town Ctr Ste #101, Vancouver, WA 98684-8911 | 2007-08-01 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.